Individual
MRS. AMY N NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LICSW
Contact information
Practice address
8290 165TH AVE NE, REDMOND, WA 98052-3948
(425) 869-2644
(425) 867-0930
Mailing address
7409 LAKE ALICE RD SE, FALL CITY, WA 98024-6703
(425) 444-8861
(425) 222-0860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60034577
WA
Other
Enumeration date
07/11/2006
Last updated
01/07/2009
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